License holder summary

Dr. IAN MAKOTO MATSUURA is a Board Of Medicine licensed to practice in Idaho. The address on file for Dr. IAN MAKOTO MATSUURA is 207 Palisades Ave Santa Monica CA 90402. This licensed professional license is not current. The license was granted 09/28/2007 and expired on 08/03/2015.

Idaho

Division of Occupational and Professional Licenses

Dr. IAN MAKOTO MATSUURA
Board Of Medicine
License number
M-10073
Date granted
09/28/2007
Date expires
08/03/2015
Class
Board Of Medicine
Status
Canceled
Address
207 Palisades Ave Santa Monica CA 90402
idaholicensing.com
ID 48338332
LAST UPDATED 2024-03-10 12:11:48 UTC

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